SCALab Laboratory, Department of Psychology, UMR 9193, CNRS, University of Lille, Villeneuve d'ascq, France.
Diabetology Center, CETRADIMN, Hospital of Roubaix, Roubaix, France.
Eat Weight Disord. 2019 Aug;24(4):633-644. doi: 10.1007/s40519-019-00738-0. Epub 2019 Jun 26.
Difficulties in emotion regulation and deficits in interoceptive awareness may be responsible for overeating and weight gain in obesity by increasing the risks of problematic eating behaviors. This study aimed to: (1) examine emotion regulation difficulties and interoceptive deficits in obesity; (2) compare the emotion regulation and interoceptive abilities of moderately and severely obese patients.
Participants were recruited through the university, diabetology centers and bariatric surgery departments. A total of 165 participants were categorized in three groups, matched by age and gender, according to their Body Mass Index (BMI). The severely obese (SO), moderately obese (MO) and normal weight (NW) groups were constituted of 55 participants each. Self-report questionnaires were used to assess emotion regulation difficulties (CERQ-DERS) and interoceptive awareness (MAIA-FFMQ).
Overall, obese participants reported more emotion regulation difficulties and less interoceptive awareness than NW participants did. They also reported a lack of planning strategies and emotional awareness, as well as less ability to observe, notice and trust body sensations. No differences in emotion regulation and interoceptive abilities were found between MO and SO participants.
Emotion regulation and interoceptive awareness should be targeted in the psychotherapeutic care of obese people, regardless of their BMI.
Level III, case-control analytic study.
情绪调节困难和内感受意识缺陷可能通过增加出现问题的饮食行为的风险，导致肥胖患者暴饮暴食和体重增加。本研究旨在：（1）检查肥胖症患者的情绪调节困难和内感受缺陷；（2）比较中度和重度肥胖患者的情绪调节和内感受能力。
通过大学、糖尿病中心和减肥手术部门招募参与者。根据体重指数（BMI），将 165 名参与者分为三组，每组年龄和性别匹配。严重肥胖（SO）、中度肥胖（MO）和正常体重（NW）组各由 55 名参与者组成。使用自我报告问卷评估情绪调节困难（CERQ-DERS）和内感受意识（MAIA-FFMQ）。
总体而言，肥胖参与者报告的情绪调节困难比 NW 参与者多，内感受意识比 NW 参与者少。他们还报告缺乏计划策略和情绪意识，以及观察、注意和信任身体感觉的能力较差。MO 和 SO 参与者之间的情绪调节和内感受能力没有差异。
无论 BMI 如何，情绪调节和内感受意识都应成为肥胖人群心理治疗的目标。
三级，病例对照分析研究。
